Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.30 / $2,945.02 / $4,596.60	Facility		$747.30	$2,945.02	$4,596.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.33 / $42.73 / $128.83	Facility	52	$27.33	$42.73	$128.83
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.93 / $17.09 / $51.53	Facility	53	$10.93	$17.09	$51.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $89.70 / $198.02	Professional		$54.23	$89.70	$198.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.41 / $64.09 / $83.20	Facility		$53.41	$64.09	$83.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $258.39 / $387.34	Professional		$161.50	$258.39	$387.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.68 / $95.68 / $95.68	Facility		$95.68	$95.68	$95.68
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.54 / $76.54 / $76.54	Facility	52	$76.54	$76.54	$76.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.14 / $19.14 / $19.14	Facility	53	$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $153.66 / $341.55	Professional		$61.07	$153.66	$341.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.51 / $2,049.91 / $5,726.52	Facility		$782.51	$2,049.91	$5,726.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $74.55 / $218.00	Professional		$68.83	$74.55	$218.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $160.41 / $257.66	Professional		$115.94	$160.41	$257.66